Halitosis Halitosis is a general term describing bad or unpleasant smells from the oral cavity or outside the oral cavity
The patient complains of halitosis but the patient's oral malodor is not felt by others and the halitosis diagnosis can not be made objectively. Delusional Halitosis Pseudo Halitosis
The patient's breath will be regarded as bad smell by other people. Delusional Halitosis Halitophobia
Genuine Halitosis : Physiologic Halitosis
Physiologic Halitosis (Oral Malodor) Oral malodor is caused by the presence in exhaled air of volatile sulfur compounds (VSCs), especially methylmercaptan [CH 3 SH) and hydrogen sulfide (H 2 S), but also short-chain fatty acids , such as butyric, propionic, and valeric acids, and polyamines, such as putresceine and cadaverine . ADA COUNCIL ON SCIENTIFIC AFFAIRS. 2003. JADA Vol.134 : Asociation Report. ADA Tonzetich J. Production and origin of oral malodor: A review of mechanisms and methods of analysis. I Periodontoi 1977 ;48:13-20. Tonzetich J. Direct gas Chromatographie analysis of sulphur compounds in mouth air in man. Arcb Oral Biol 1971;16: 587-597. Goldberg S, Kozlovsky A, Rosenberg M. Caderine as a putative component of oral malodor. J Dent Res 1994;73: 1168-tl72. Oral malodor , also known as bad breath , is a common complaint among the general population 1 VSCs = produced primarily by the action of gram-negative bacteria in gingival crevicular fluid, blood, desquamated epithelial cells, saliva and food
hALITOSIS Biofilm on the back of the tongue Decrease in saliva Eating foods with a strong odor Smoking or using smokeless (spit) tobacco Bacteria and plaque buildup Mouth and throat problems Problems in other areas of the body http://www.webmd.com/oral-health/tc/bad-or-changed-breath-topic-overview https://europepmc.org/article/pmc/pmc8173312
Diagnosis & Assessment of Halitosis (Oral Malodor) 1 2 Halimeter Untuk mendeteksi tingkat sulfur yang rendah . Kromatografi Gas Tes ini mengukur tiga senyawa sulfur yang mudah menguap , seperti hidrogen , sulfida , metil merkaptan , dan dimetil sulfida . https://www.halodoc.com/kesehatan/bau-mulut-halitosis
Diagnosis & Assessment of Halitosis (Oral Malodor) Tes BANA Tes ini untuk mengukur kadar enzim spesifik yang diproduksi oleh bakteri penyebab halitosis. Tes Beta-Galactosidase Riset menemukan bahwa enzim beta-galactosidase memiliki korelasi dengan bau mulut . https://www.halodoc.com/kesehatan/bau-mulut-halitosis 3 4
How to prevent? Intra Oral Pathologic Halitosis
Prevention of Halitosis/Bad breath Daily Oral Regime Rutin ke Dokter Gigi Lifestyle ( Makanan , Rokok , Konsumsi Air Putih )
Halitosis &
Why is plaque a problem? Dental plaque is a type of biofilm. If plaque isn’t removed, plaque bacteria can produce acids contributing to dental decay or toxins that cause gingivitis. Periodontal disease, cavities, bad breath and tooth loss may follow if left untreated.
Coventry J, Griffiths G, Scully C, Tonetti M. Periodontal disease. Brit Med J. 2000;321(7252):36-39. Gingivitis is prevalent at all ages 1 Chronic gingivitis affects a large percentage of the world’s population 1
Severe periodontitis is the 6 th most prevalent oral condition 1 Marcenes W, Kassebaum NJ, Bernabé E, et al. Global burden of oral conditions in 1990-2010: a systematic analysis. J Dent Res. 2013;91(7):592-597. Petersen PE, Bourgeois D, Ogawa H, et al. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005;83(9):661-669. Albandar JM, Brown LJ, Loe H, Clinical features of early-onset periodontitis. J Am Dent Assoc. 1997;128(10):1393-1399.
Symptoms of Gingivitis and Periodontitis 20 Inflammation (swollen gums) Gums bleed easily when brushing teeth or flossing Presence of calculus (tartar) – which is a form of hardened plaque Halitosis (bad breath) Untreated Gingivitis can lead to Periodontitis If left untreated, periodontitis can lead to loss of bone and teeth
Scientific Research
Essential Oils Menthol is known for its local anesthetic and counterirritant activity Eucalyptol acts as an antibacterial and anti-fungal agent Thymol has antiseptic properties
Essential oil mouthrinse penetrates even the hardest-to-reach areas Gurenlian JR. The role of dental plaque biofilm in oral health. J Dent Hyg. 2007;81(5):1‐11. Marsh PD. Contemporary perspective on plaque control. Br Dent J. 2012;212(12):601‐606. Penetrates and kills bacteria down to the bottom layer, which can help maintain the oral microflora at levels compatible with health 1-2
What’s happening here is that: When swishing, LISTERINE’s essential oils are drawn to the cell surface E ssential oils create holes in the cell membrane This holes severe damage the cell membrane and result in cell death
The most robust collection of data of its kind
Brushing + EO antimicrobal mouthwash provides a clinically significant benefit in patients within a 6-month period
Araujo M, Charles C, Weinstein R, et al. Meta-analysis of the effect of an essential oil-containing mouthrinse on gingivitis and plaque. J Am Dent Assoc. Manuscript ID: 539-14. RI. Brushing + EO antimicrobial mouthwash can increase your odds for having a healthier mouth after 6 months, compared to brushing and flossing alone 1
Drg . Rochman Mujayanto, Sp.PM Dokter Gigi Spesialis Penyakit Mulut